Organization Active NPI

Rothrock Drug Company Inc

Doing business as Rothrock Drug Company

  • Community/Retail Pharmacy
  • Blytheville, AR
National Provider Identifier
1295732717
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR00793 Issued in AR
Legal business name
ROTHROCK DRUG COMPANY INC
Doing business as
Rothrock Drug Company
Practice address
700 N 6TH St
Blytheville, AR 72315-2412
Phone
(870) 763-4451
Fax
(870) 838-1821
NPI assigned
Jun 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathleen Rothrock, PD
Title
PHRM Owner
Phone
(870) 763-4451

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X AR00793 AR Primary

Addresses

Primary practice location

700 N 6TH St
Blytheville, AR 72315-2412

Mailing address

PO Box 424
Blytheville, AR 72316-0424
Phone (870) 763-4451

Other identifiers 2

IdentifierTypeStateIssuer
100451407MedicaidAR
1992798OtherPK

Other names 1

  • ROTHROCK DRUG COMPANY Doing business as

National Provider Directory

National Provider Directory

Locations

700 N 6th St
Blytheville, AR 72315
Phone (870) 763-4451

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1295732717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723160424",
            "telephone_number": "870-763-4451",
            "fax_number": "870-838-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N 6TH ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152412",
            "telephone_number": "870-763-4451",
            "fax_number": "870-838-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTHROCK DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "ROTHROCK",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PHRM OWNER",
        "authorized_official_telephone_number": "870-763-4451",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR00793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100451407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1992798",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROTHROCK DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blytheville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.